| NPI | 1093276818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MB13050900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 316491-01) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2026-06-29 |